1,359 results match your criteria Lithotripsy Extracorporeal Shockwave


Correlative investigation between routine clinical parameters of dual-energy computed tomography and the outcomes of extracorporeal shock wave lithotripsy in children with urolithiasis: a retrospective study.

Abdom Radiol (NY) 2021 Jun 10. Epub 2021 Jun 10.

Department of Radiology, Xinhua Hospital Affiliated to Shanghai Jiaotong University School of Medicine, 1665 Kongjiang Road, Yangpu District, Shanghai, 200092, China.

Purpose: To evaluate the associations of DECT parameters with extracorporeal shock wave lithotripsy (ESWL) outcomes in pediatric patients.

Methods: A retrospective study of consecutive patients with calculi who underwent ESWL and DECT in our hospital was performed in 2011-2019. The primary outcome was DECT imaging's correlation with ESWL outcomes. Read More

View Article and Full-Text PDF

'Boxing in the corner': A modified retrograde approach for the management of proximal ureteric stones of 1-2 cm.

Arab J Urol 2021 Feb 2;19(2):141-146. Epub 2021 Feb 2.

Department of Urology, Faculty of Medicine, Alexandria University, Alexandria, Egypt.

: To study a modification to the conventional retrograde ureteroscopic approach for treating proximal ureteric stones of 1-2 cm; we intentionally push the stone from the proximal ureter into a favourable calyx then the flexible ureteroscope is used to fragment the trapped stone using laser lithotripsy ('boxing in the corner'). : The study was conducted in a randomised prospective manner and included 100 patients who presented with a single proximal ureteric stone of 1-2 cm. We randomised the patients into two equal groups: Group A (50 patients) underwent the conventional retrograde technique (CRT) and Group B (50 patients) underwent the modified retrograde technique (MRT) with the primary intention of relocating the stone into a favourable calyx. Read More

View Article and Full-Text PDF
February 2021

Egyptian clinical practice guideline for kidney transplantation.

Arab J Urol 2021 Jan 3;19(2):105-122. Epub 2021 Jan 3.

Nephrology Department, Kasr El-Einy Medical School, Cairo University, Cairo, Egypt.

: To present the first Egyptian clinical practice guideline for kidney transplantation (KT). : A panel of multidisciplinary subspecialties related to KT prepared this document. The sources of information included updates of six international guidelines, and review of several relevant international and Egyptian publications. Read More

View Article and Full-Text PDF
January 2021

European Association of Urology and European Society for Paediatric Urology Guidelines on Paediatric Urinary Stone Disease.

Eur Urol Focus 2021 May 26. Epub 2021 May 26.

Division of Pediatric Urology, Department of Urology, Hacettepe University, Ankara, Turkey.

Context: Paediatric stone disease is an important clinically entity and management is often challenging. Although it is known that the condition is endemic in some geographic regions of the world, the global incidence is also increasing. Patient age and sex; the number, size, location, and composition of the stone; and the anatomy of the urinary tract are factors that need to be taken into consideration when choosing a treatment modality. Read More

View Article and Full-Text PDF

Mini-percutaneous nephrolithotomy is a safe alternative to extracorporeal shockwave lithotripsy for high-density, renal stones: a prospective, randomised trial.

BJU Int 2021 May 24. Epub 2021 May 24.

Department of Urology, Faculty of Medicine, Al-Azhar University, Cairo, Egypt.

Objectives: To compare the outcomes of miniaturised percutaneous nephrolithotomy (mini-PCNL) and extracorporeal shockwave lithotripsy (ESWL) in the management of 10-20 mm, non-lower pole, renal stones.

Patients And Methods: This prospective randomised double-arm trial was conducted at a tertiary care hospital in Egypt from February to December 2020. Adult patients with single, non-lower pole, high-density (≥1000 HU) renal stones were randomised to receive mini-PCNL or ESWL. Read More

View Article and Full-Text PDF

Endoscopic retrieval of a proximally migrated biliary stent using extracorporeal shockwave lithotripsy, electrohydraulic lithotripsy, and cholangioscopy with minisnare.

VideoGIE 2021 May 27;6(5):231-233. Epub 2021 Feb 27.

Division of Gastroenterology, Washington University School of Medicine in St. Louis, St. Louis, Missouri.

Video 1ERCP was notable for a proximally migrated biliary stent. Cholangiogram demonstrated multiple filling defects consistent with choledocholithiasis surrounding the proximally migrated biliary stent. Retrieval of the stent was successful using cholangioscopy-directed electrohydraulic lithotripsy, extracorporeal shockwave lithotripsy, mechanical lithotripsy, and minisnare over the course of 2 ERCPs. Read More

View Article and Full-Text PDF

Gene transcripts expressed in equine white blood cells are potential biomarkers of extracorporeal shock wave therapy.

Drug Test Anal 2021 May 18. Epub 2021 May 18.

Department of Clinical Studies - New Bolton Center, University of Pennsylvania School of Veterinary Medicine, Kennett Square, Pennsylvania, USA.

Extracorporeal shockwave therapy (ESWT) is a treatment applied to musculoskeletal injuries in equine athletes to alleviate pain and accelerate healing. ESWT also causes acute tissue damage. Therefore, its ability to act as an analgesic and cause tissue damage potentially increases the risk of a catastrophic event if used shortly before a strenuous competition such as horseracing. Read More

View Article and Full-Text PDF

Outcomes of extracorporeal shock wave lithotripsy for ureteral stones according to ESWL intensity.

Transl Androl Urol 2021 Apr;10(4):1588-1595

Department of Urology, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Korea.

Background: We evaluated the treatment outcomes of ureteral stones according to energy intensity generated by extracorporeal shock wave lithotripsy (ESWL).

Methods: We retrospectively analyzed 150 patients who underwent ESWL for treatment of ureteral stones between September 2018 and February 2020. All stones were confirmed by a computed tomography examination, and the size, location, skin-to-stone distance, and Hounsfield units (HU) of the stones were assessed. Read More

View Article and Full-Text PDF

Artificial intelligence in stone disease.

Curr Opin Urol 2021 Jul;31(4):391-396

Professor of Urology and Internal Medicine, Charles and Jane Pak Center for Mineral Metabolism, UT Southwestern Medical Center, Dallas, TX, USA.

Purpose Of Review: Artificial intelligence (AI) is the ability of a machine, or computer, to simulate intelligent behavior. In medicine, the use of large datasets enables a computer to learn how to perform cognitive tasks, thereby facilitating medical decision-making. This review aims to describe advancements in AI in stone disease to improve diagnostic accuracy in determining stone composition, to predict outcomes of surgical procedures or watchful waiting and ultimately to optimize treatment choices for patients. Read More

View Article and Full-Text PDF

The effect of music on state anxiety in patients undergoing extracorporeal shockwave lithotripsy.

Int J Clin Pract 2021 Apr 30:e14293. Epub 2021 Apr 30.

Urology Department, Turkey Yüksek İhtisas Education and Research Hospital, Ankara, Turkey.

Aim: Extracorporeal shockwave lithotripsy is a commonly used method to break down kidney stones in urology clinics. This study aims to investigate whether or not listening to music is effective against state anxiety in patients undergoing kidney stone treatment with this method.

Methods: A total of 80 patients (50 males, 30 females) undergoing extracorporeal shockwave lithotripsy for the first time at our clinic were included in the study. Read More

View Article and Full-Text PDF

Perinephric Hematoma Associated with Pyelonephritis Following Ureteral Stent Placement for Ureteral Obstruction Causing Hydronephrosis.

Am J Case Rep 2021 Apr 27;22:e931404. Epub 2021 Apr 27.

Department of Internal Medicine, Benefis Health System, Great Falls, MT, USA.

BACKGROUND Perinephric hematomas are rare, especially following ureteral stent placement. Etiologies of perinephric hematomas include post-extracorporeal shockwave lithotripsy, Wunderlich syndrome, and renal cell carcinoma, none of which occurred in our patient, who underwent stent replacement. Subcapsular renal hematoma, rather than a perinephric hematoma, can occur following double-J ureteral stent placement. Read More

View Article and Full-Text PDF

Small bowel obstruction and strangulation secondary to an adhesive internal hernia post ESWL for right ureteral calculi: a case report and review of literature.

BMC Gastroenterol 2021 Apr 17;21(1):176. Epub 2021 Apr 17.

Department of Emergency Medicine, Shengjing Hospital of China Medical University, Shenyang, 110004, People's Republic of China.

Background: Extracorporeal shock wave lithotripsy (ESWL) is a relatively safe and convenient mode of treatment for ureteral and renal stones, despite its relative safety; ESWL is not without its complications. We present a case of a patient we managed for small bowel obstruction and strangulation due to an adhesive internal hernia after ESWL was done because of right ureteral calculi.

Case Presentation: We report a case of a 59-year-old patient who presented with severe abdominal pain a few hours after ESWL because of a right upper ureteric calculus. Read More

View Article and Full-Text PDF

Shockwave Lithotripsy Versus Ureteroscopic Treatment as Therapeutic Interventions for Stones of the Ureter (TISU): A Multicentre Randomised Controlled Non-inferiority Trial.

Eur Urol 2021 Jul 31;80(1):46-54. Epub 2021 Mar 31.

NHS Grampian, Department of Urology, Aberdeen Royal Infirmary, Aberdeen, UK.

Background: Renal stone disease is common and can cause emergency presentation with acute pain due to ureteric colic. International guidelines have stated the need for a multicentre randomised controlled trial (RCT) to determine whether a non-invasive outpatient (shockwave lithotripsy [SWL]) or surgical (ureteroscopy [URS]) intervention should be the first-line treatment for those needing active intervention. This has implications for shaping clinical pathways. Read More

View Article and Full-Text PDF

The Long-Term Follow-Up of Patients with Cystine Stones: A Single-Center Experience for 13 Years.

J Clin Med 2021 Mar 24;10(7). Epub 2021 Mar 24.

Department of Urology, Ijinkai Takeda General Hospital, 28-1 Moriminami-cho, Ishida Fushimi-ku, Kyoto 601-1495, Japan.

Introduction: Cystine stone development is relatively uncommon among patients with urolithiasis, and most studies have reported only on small sample sizes and short follow-up periods. We evaluated clinical courses and treatment outcomes of patients with cystine stones with long-term follow-up at our center.

Methods: We retrospectively analyzed 22 patients diagnosed with cystine stones between January 1989 and May 2019. Read More

View Article and Full-Text PDF

Systematic review and meta-analysis of transgluteal versus prone approach to extracorporeal shockwave lithotripsy for patients with distal ureteral stones.

Asian J Surg 2021 Mar 23. Epub 2021 Mar 23.

Department of Urology, The Second Affiliated Hospital of Chongqing Medical University, Chongqing, China. Electronic address:

To explore the effectiveness of transgluteal approach during extracorporeal shockwave lithotripsy (ESWL) for patients with distal ureteral stones compared to the prone approach. A systematic literature search was carried out by two reviewers independently on the basis of three electronic databases up to Aug. 2020. Read More

View Article and Full-Text PDF

Flexible ureteroscopy versus miniaturized percutaneous nephrolithotomy for renal stones of 1-2 cm.

Fac Rev 2020 22;9:29. Epub 2020 Dec 22.

Department of Surgery, Aga Khan University, Karachi, Pakistan.

Technological advances and innovation in endourology have significantly reduced the indications of extracorporeal shockwave lithotripsy in the management of moderate-sized renal stones. In the last decade, we have witnessed a trend towards the use of finer scopes for percutaneous procedures instead of standard percutaneous nephrolithotomy (PCNL) (≥22 Fr). Miniaturized PCNL (mPCNL), i. Read More

View Article and Full-Text PDF
December 2020

Sialolithiasis: retrospective analysis of the effect of an escalating treatment algorithm on patient-perceived health-related quality of life.

Head Face Med 2021 Mar 1;17(1). Epub 2021 Mar 1.

Department of Oral and Maxillofacial Surgery, Heinrich-Heine-University, Moorenstraße 5, 40225, Düsseldorf, Germany.

Background: Gland preserving techniques in the treatment of sialolithiasis have continuously replaced radical surgery. The aim of this study was to evaluate a multimodal treatment algorithm in the therapy of sialolithiasis and assess improvement of HRQoL perceived by patients.

Methods: Patients with sialolithiasis were treated by a multimodal treatment algorithm based on multiplicity of stones, stone size, affected gland, and stone position. Read More

View Article and Full-Text PDF

"Contralateral Coupling During Extracorporeal Shockwave Lithotripsy for Stones in Ectopic Kidney: Is It Feasible?" by Fawzy et al.

Authors:
Kenneth T Pace

J Endourol 2021 Apr 12. Epub 2021 Apr 12.

Division of Urology, Department of Surgery, Unity Health Toronto, University of Toronto, Toronto, Canada.

View Article and Full-Text PDF

Page kidney post ureteroscopy: a case report.

J Surg Case Rep 2021 Feb 13;2021(2):rjab021. Epub 2021 Feb 13.

College of Medicine, Prince Sattam Bin Abdulaziz University, Al-Kharj, Saudi Arabia.

Renal injury after surgical intervention is not uncommon in current urological practice with most complication would be anticipated in high risk patient. Subcapsular renal hematoma is not known complication post some urological interventions such as extracorporeal shockwave lithotripsy (ESWL), percutaneous nephrolithotomy (PCNL) and trauma. Few cases of subcapsular hematomas are reported as a complication post ureteroscopy in the literature. Read More

View Article and Full-Text PDF
February 2021

Contralateral Coupling During Extracorporeal Shockwave Lithotripsy for Stones in Ectopic Kidney: Is It Feasible?

J Endourol 2021 Apr 7. Epub 2021 Apr 7.

Faculty of Medicine, Minia Urology and Nephrology University Hospital, Minia University, Minia, Egypt.

Extracorporeal shockwave lithotripsy (SWL) results in a lower stone-free rate (SFR) for ectopic kidneys when using the standard technique, directing the shock wave from the same side of the stone; however, this may not be the optimal approach when the ectopic kidney is located more medial and anterior than the normally positioned kidney. Thus, contralateral coupling where waves come from the opposite direction may result in a better outcome. We tested the feasibility and outcome of contralateral coupling during SWL for stone in ectopic kidney. Read More

View Article and Full-Text PDF

Impact of music on anxiety and pain control during extracorporeal shockwave lithotripsy: A protocol for systematic review and meta-analysis.

Medicine (Baltimore) 2021 Jan;100(4):e23684

Department of Urology, Institute of Urology, West China Hospital, Sichuan University, Chengdu, China.

Background: The present evidence is insufficient for evaluating the impact of exclusive music therapy on anxiety and pain control in extracorporeal shock wave lithotripsy (ESWL).

Methods: A systematic review and meta-analysis was conducted to explore the efficacy of music therapy in reducing pain and anxiety in patients undergoing ESWL. PubMed, Web of Science, Embase, EBSCO, and Cochrane library databases (updated March 2020) were searched for randomized controlled trials assessing music therapy in reducing pain and anxiety in patients undergoing ESWL. Read More

View Article and Full-Text PDF
January 2021

A consecutive series of patients undergoing trans-urethral cystolithotripsy with ballistic lithotripsy by a tertiary referral center for neurogenic bladder.

Acta Biomed 2020 07 15;91(4):e2020112. Epub 2020 Jul 15.

Neuro-urology Unit, ASST Grande Ospedale Metropolitano Niguarda, Milan, Italy.

Background and aim of the work Patients with neurogenic bladder (NB) have an increased risk of developing bladder stones due to bladder catheter, incomplete bladder emptying, recurrent urinary tract infections, and immobilization. In these patients, minimally invasive treatments are usually adopted, as noninvasive extracorporeal shockwave lithotripsy is limited by the risk of not clearing all stone fragments, and open surgery is usually discouraged. The aim of our study was to present our experience with trans-urethral cystolithotripsy (TUCL) in patients treated by a tertiary referral center for NB. Read More

View Article and Full-Text PDF

Jackstone in the Kidney: An Unusual Calculus.

Case Rep Urol 2021 16;2021:8816547. Epub 2021 Jan 16.

Department of Urology, National Hospital of Sri Lanka, Colombo, Sri Lanka.

Jackstones are stones in the urinary tract that have the characteristic appearance resembling six-pointed toy jacks. They are nearly always reported to occur in the urinary bladder, and the occurrence in less capacious renal pelvis is unusual. We report a solitary, typical jackstone in the renal pelvis without significant outflow obstruction that was successfully treated with retrograde intrarenal surgery followed by extracorporeal shockwave lithotripsy. Read More

View Article and Full-Text PDF
January 2021

Renal Protection Phenomenon Observed in a Porcine Model After Electromagnetic Lithotripsy Using a Treatment Pause.

J Endourol 2021 May 22;35(5):682-686. Epub 2021 Feb 22.

Department of Anatomy, Cell Biology and Physiology, Indiana University School of Medicine, Indianapolis, Indiana, USA.

Pretreating the kidney with 100 low-energy shock waves (SWs) with a time pause before delivering a clinical dose of SWs (Dornier HM-3, 2000 SWs, 24 kV, and 120 SWs/min) has been shown to significantly reduce the size of the hemorrhagic lesion produced in that treated kidney, compared to a protocol without pretreatment. It has been assumed that a similar reduction in injury will occur with lithotripters other than the HM-3, but experiments to confirm this assumption are lacking. In this study, we sought to verify that the lesion protection phenomenon also occurs in a lithotripter using an electromagnetic shock source and dry-head coupling. Read More

View Article and Full-Text PDF

Surgical Trends in Nephrolithiasis: Increasing Renal Access by Urologists for Percutaneous Nephrolithotomy.

J Endourol 2021 Apr 5. Epub 2021 Apr 5.

Department of Urology, University of Washington School of Medicine, Seattle, Washington, USA.

Percutaneous nephrolithotomy (PCNL) has wide variability in the methods of renal access. In many centers, this is done as a separate nephrostomy procedure by interventional radiology, while other urologists gain initial access themselves during the PCNL. We aimed to characterize these trends to confirm the need for continued training in this aspect of PCNL. Read More

View Article and Full-Text PDF

Evidence and clinical trials in Endourology: where are we going.

Curr Opin Urol 2021 03;31(2):120-124

Academic Urology Unit, University of Aberdeen.

Purpose Of Review: There is an ongoing explosion in the amount and quality, of research in the field of Endourology. From a solid basis of systematic reviews and small, single centre trials it has been possible to design large randomised controlled trials in the UK and in the USA. This review will describe some of the more recent trials (small and large) that are helping to provide a solid evidence base for our practice in Endourology. Read More

View Article and Full-Text PDF

Comparison of extracorporeal shockwave lithotripsy and retrograde intrarenal surgery in the treatment of renal pelvic and proximal ureteral stones ≤2 cm in children.

Indian J Urol 2020 Oct-Dec;36(4):282-287. Epub 2020 Oct 1.

Department of Urology, Haseki Traning and Research Hospital, Istanbul, Turkey.

Introduction: We aimed to compare extracorporeal shockwave lithotripsy (ESWL) and retrograde intrarenal surgery (RIRS) in pediatric patients with ≤2 cm renal pelvis and proximal ureteral stones.

Methods: Medical records of 165 pediatric patients who underwent shockwave lithotripsy (SWL) or RIRS for upper urinary system stones up to 2 cm between January 2014 and December 2018 were retrospectively reviewed. After exclusions, the remaining 130 patients included 73 in the SWL group and 57 in the RIRS group. Read More

View Article and Full-Text PDF
October 2020

Extremely-slow, half-number shockwave lithotripsy for asymptomatic renal stones <20 mm.

Investig Clin Urol 2021 Jan 3;62(1):72-78. Epub 2020 Dec 3.

Department of Urology, Ijinkai Takeda General Hospital, Kyoto, Japan.

Purpose: To compare the treatment success rate and safety of reduced (30 shocks/min, 1,200 shocks/session) versus standard (60 shocks/min, 2,400 shocks/session) extracorporeal shockwave lithotripsy for the management of renal stones.

Materials And Methods: We retrospectively analyzed 404 patients who underwent extracorporeal shockwave lithotripsy for 5-20-mm renal stones between April 2011 and March 2019. Patients selected the reduced or standard protocol (group R and S) after explaining the potential benefits and disadvantages. Read More

View Article and Full-Text PDF
January 2021